Imagine That Child Care Services

1. Parent name(s), first and last

2. Child's name(s)

3. Child's age

4. Child's date of birth

5. Email address

6. Location where child care is to take place (name and address of hotel)

7. Date you require child care

8. Start to finish time

9. Please provide us with the closest major intersection if we are providing in-home child care

10. Home address (for receipt purposes, please include street, city, prov/state, postal/zip code)

11. Cell phone number

12. Alternative number

13. Emergency contact person:
Name
Number

14. Allergies: type, high risk or low risk, treatment, please explain

15. Medical issues: please describe

16. Restrictions: diet, rest, exercise, mobility, off-limit activities

17. Meal arrangements: favourite meals and snacks, restricted foods

18. Regular or special routine requirements: car, booster seat, toys, swimming
Please explain

19. Child/teen’s favourite activities: books, songs, toys, games

20. Comforting your child: your secrets (ways to be held, silly things for a laugh etc.)

21. Please share any additional information that you would like us to know about your child or family

22. How did you hear about our service?

We will call you within 24 hours of having received your child care request. We accept Visa and MasterCard payment only, this information is taken over the phone. We do NOT accept American Express. We have a three-hour minimum and a 24-hour cancellation policy.


			416.243.3285

	Services • In home • In hotel Child care request How we work Who we are FAQs Testimonials Resources Contact us		Child care request Imagine That understands that professional training and developed childcare skills are important ingredients for a successful care experience. We also know that properly matching the care provider with each child and family results in an exceptional experience. We carefully compare the needs and interests of each child with the talents and personalities of our care providers. We use your completed child care questionnaire to match the right care professional with your child or adolescent and develop their individualized activity plan. Please fill out ONE child profile form for EACH child. All information is strictly confidential. 1. Parent name(s), first and last 2. Child's name(s) 3. Child's age 4. Child's date of birth 5. Email address 6. Location where child care is to take place (name and address of hotel) 7. Date you require child care 8. Start to finish time 9. Please provide us with the closest major intersection if we are providing in-home child care 10. Home address (for receipt purposes, please include street, city, prov/state, postal/zip code) 11. Cell phone number 12. Alternative number 13. Emergency contact person: Name Number 14. Allergies: type, high risk or low risk, treatment, please explain 15. Medical issues: please describe 16. Restrictions: diet, rest, exercise, mobility, off-limit activities 17. Meal arrangements: favourite meals and snacks, restricted foods 18. Regular or special routine requirements: car, booster seat, toys, swimming Please explain 19. Child/teen’s favourite activities: books, songs, toys, games 20. Comforting your child: your secrets (ways to be held, silly things for a laugh etc.) 21. Please share any additional information that you would like us to know about your child or family 22. How did you hear about our service? We will call you within 24 hours of having received your child care request. We accept Visa and MasterCard payment only, this information is taken over the phone. We do NOT accept American Express. We have a three-hour minimum and a 24-hour cancellation policy.

	© 2009 Imagine That Child Care Services. All rights reserved. Imagine That is a division of Bartimaeus Inc.